Minority AIDS Support Services Inc
NPI 1619660883ActiveOrganization· General Practice· Newport News, VA
General Practice in Newport News, Virginia, registered in NPPES in June 2023. The authorized official on file is Gwendolyn Ellis-Wilson, MS, Manager/Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619660883 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 1, 2023 |
| Last updated in NPPES | Dec 21, 2023 |
| Certified by provider | Dec 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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